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TOWN OF MONTVILLE V
Building Department
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
For 180 Days
Permit Not 9716 Approval Dates 10/22/91 Expiration Dates 4/22/92
Estimated Costs 5, 000. 00 Fees, 28. 00 PRFs 4. 30 C. O1 5. 00
Owners Barbara Goupille Address. 52 Pequot Road Tel .
Job Locations 52 Pequot Road Codes 05
Contractors J. T. Remodelers Address. 385 Maple Avenue Tel . 848-2505
Stick Built . x Modular Homes Manufactured Homes Commercials
Additions Garages Car Ports Sheds Remodeling. x Roofings
Sidings Fireplaces Chimneys Windows . Pools Demolition.
Plumbing. Heating. Electrical . Air Conditionings Gass
Patio. Porch. Decks News x Repair/Replacements
Type of material used/discriptions build roof over existing stairs and fire
rated boiler room
Sizes Type of Heats Fireplaces
No. of Stories. No. Rooms. Breezeways
No. Baths. Garages Uses
I hereby certify that the prop sed work will conform to the Basic
Building Code and all other odes s adopted by the State of Connecticut, and
the Town of Montville.
c7ZApplicant' s Signatures Date. /042/4/
If signed by Contracto type of license/r gistration & Noe S ` I AP/g
Building Official' s Signatures I ' d'/ ili ' ' Dates /O-""2 2-71
Date of Health Dept. Approvals /1/44-
Date of Zoning Approval . Ali/}-
THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE
BUILDING CODE, SECTION 119. 1 A CERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO
ANY USE OF THE STRUCTURE.
Nn..••^• 'tar TOWN OF MONTVILLE
virf
Building Department
Application for a Permit
Owner: f3Arz `l n+c=�-wti H
G au 94l.�.r Address: L ...Scrub-. s'k" Tel : g�-
Job Location: s ? E& jo f rsv p (-) C-AS1't�C
Contractor: n'T R t nn%a p ct-E 2S
Address: 185 1MAyyte A iii77 Tel 'y 51„ ,57 So
Stick Built: Modular Home:
Manufactured Home: commercial : _
Addition: Garage: Car Port:
Shed: Remodeling: Roofing: y
Siding: Fireplace: Chimney: Windows: Pool: Demolition:
Plumbing: Heating: Electrical: Air Conditioning:
Gas:
Patio: ._._ Porch: Deck:
New: Repair/Replacement:
Type of Material to be used/job description: B
vIt,C) fZeUc
o ISII u - V§‘^-wA [ v
Size: Type of Heat:
Fireplace:
No.of Stories: No. Rooms:
Breezeway:
No. Baths: Garage:
Use: